Editing Burns (section)

=== '''Fluid resuscitation''' ===

*** Burn shock - rapid fluid shifts leading to decreased intravascular volume
*** Therefore aggressive and early resuscitation is necessary
*** Use CSL for all >2yo. Use CSL with 5% dextrose for <2yo.
*** Recommended formal fluid resus if TBSA >15%
*** Hourly UO should be maintained at 0.5ml/kg/hr
*** Be aware that over-resus may worsen airway oedema
*** 2-4xTBSA % per kg for second/third degree burns

**** Half in first 8 hours, half during subsequent 16
**** Under-resus leads to hypoperfusion and end-organ injury. Over-resus leads to oedema (burn depth progression, compartment syndrome, airway oedema).
**** Initial rate given by TBSA x10, plus 100mL/hr for every additional 10kg of weight above 80kg. Continue this rate until a formal calculation has been done. 

*** Generally start introducing colloids after 24 hours